Applying the Transtheoretical Model to Tobacco Cessation and Prevention: A Review of Literature

Spencer, Leslie; Pagell, Francie; Hallion, Maria Elena; Adams, Troy B.

doi:10.4278/0890-1171-17.1.7

Cited by 161 publications

(106 citation statements)

References 159 publications

(158 reference statements)

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“…Although we recognize the potential limitations of SOC to predict individual behavior, 28 -30 it is a model with which many physicians are familiar and is an important reminder to consider a patient's readiness for any particular message or intervention. 31,32 Although the principles of SOC were used to conceptualize and assess patients' readiness for change, MI techniques formed the basis of the scripted interviews used by physicians to move patients along the SOC continuum. MI promotes relationship building and attempts to motivate patients by exploring and resolving their ambivalence about changing their behavior.…”

Section: Discussionmentioning

confidence: 99%

Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)

Strayer

Heim

Rollins

et al. 2013

The Journal of the American Board of Family Medicine

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Purpose: Primary care practices are an ideal setting for reducing national smoking rates because >70% of smokers visit their physician annually, yet smoking cessation counseling is inconsistently delivered to patients. We designed and created a novel software program for handheld computers and hypothesized that it would improve clinicians' ability to provide patient-tailored smoking cessation counseling at the point of care.Methods: A handheld computer software program was created based on smoking cessation guidelines and an adaptation of widely accepted behavioral change theories. The tool was evaluated using a validated before/after survey to measure physician smoking cessation counseling behaviors, knowledge, and comfort/self-efficacy.Results: Participants included 17 physicians (mean age, 41 years; 71% male; 5 resident physicians) from a practice-based research network. After 4 months of use in direct patient care, physicians were more likely to advise patients to stop smoking (P ‫؍‬ .049) and reported an increase in use of the "5 As" (P ‫؍‬ .03). Improved self-efficacy in counseling patients regarding smoking cessation (P ‫؍‬ .006) was seen, as was increased comfort in providing follow-up to patients (P ‫؍‬ .04).Conclusions: Use of a handheld computer software tool improved smoking cessation counseling among physicians and shows promise for translating evidence about smoking cessation counseling into practice and educational settings. One third of the world's adult population smoke cigarettes (Ͼ1.1 billion people), resulting in nearly 5 million deaths annually, with projections of 10 million annual deaths if current global smoking patterns continue.1 Previous declines in smoking rates have stalled over the past 5 years, 2 and nearly half of the United States' 45.3 million current smokers are expected to die prematurely as a result of smoking.A recent Institute of Medicine report calls for implementing successful cessation methods and approaching smoking as a disease management issue, 3 yet it has been difficult to translate these recommendations into clinical practice. Excellent evidencebased guidelines for smoking cessation counseling have been available for more than 2 decades, and an update was published in 2008. Clinicians in primary care have the potential to impact national smoking rates; Ͼ70% of smokers visit their physician annually.8 Despite having these guidelines for smoking cessation available, physicians continue to perform poorly in delivering smoking cessation counseling to their patients. Goldstein et al. 9 found that a majority of community-based primary care physicians reported asking (67%) and advising (74%) their patients about smoking, but rates of assisting (35%) or arranging (8%) follow-up were much lower. Several additional studies have confirmed these low rates of recommended physician smoking cessation counseling, 10 -16 demonstrating the need for innovative, dynamic, and accessible methods to translate and disseminate smoking cessation counseling information to clinicians.Pe...

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Section: Discussionmentioning

confidence: 99%

Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)

Strayer

Heim

Rollins

et al. 2013

The Journal of the American Board of Family Medicine

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“…The TTM has been used to design interventions to promote positive behaviours such as physical activity/exercise (Adams and White, 2003;Spencer et al, 2006), healthy eating (Armitage et al, 2004;Horwath, 1999;Spencer et al, 2007), and mammography screening (Ashworth, 1997;Spencer, Pagell, and Adams, 2005), as well as to help people avoid pregnancy and sexuallytransmitted diseases (Horowitz, 2003) and overcome harmful behaviours such as smoking and substance abuse (Migneault, Adams, and Read, 2005;Spencer et al, 2002). The apparent success of some of these communication and intervention programmes suggests that it might be worth applying insights from the model to the promotion of lower-carbon and other sustainability-related behaviours.…”

Section: Applications and Criticismsmentioning

confidence: 99%

“…The TTM is not the only stage model of change, but it was chosen for this analysis because it is an extremely popular and enduring model (Horwath, 1999;Spencer et al, 2007) and has been used successfully both to design interventions promoting a variety of behaviours (Spencer et al, 2006;Spencer et al, 2002;Spencer, Pagell, and Adams, 2005) and to evaluate communications in other fields (e.g. Cottone and Byrd-Bredbenner, 2007).…”

Section: The Utility Of the Ttm With Respect To Sustainability Communmentioning

confidence: 99%

Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action

Howell

2014

IJSD

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Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action Citation for published version: Howell, R 2014, 'Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action' International Journal of Sustainable Development, vol. 17, no. 2, General rightsCopyright for the publications made accessible via the Edinburgh Research Explorer is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policyThe University of Edinburgh has made every reasonable effort to ensure that Edinburgh Research Explorer content complies with UK legislation. If you believe that the public display of this file breaches copyright please contact openaccess@ed.ac.uk providing details, and we will remove access to the work immediately and investigate your claim. change, but to engage them in taking mitigation action. This paper outlines the transtheoretical model of behavioural change, which incorporates six stages of change that individuals progress through as they change their behaviour, and ten associated processes of change. Using four climate change films as illustrations, I show how the model can be applied to identify the processes of change employed or depicted by sustainability communications. I then discuss research on the impacts of the films in the light of this analysis, considering the strengths and limitations of the movies' use/portrayal of processes of change with regard to encouraging viewers to change their behaviour. The paper concludes with recommendations for how film may be used more effectively as a tool to inspire climate change mitigation action.

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“…De esta forma, la «calidad del consejo», «el número de acciones» y el abordaje «de equipo» logran una mayor eficacia que el consejo breve aislado 18 . En relación a la calidad del consejo, se ha observado que éste aumenta su efectividad entre 2 y 4 veces, si considera la etapa de cambio y autoeficacia del paciente 14,19,20 . En nuestro estudio, 18% de las mujeres fumadoras estaban en etapa de preparación.…”

Section: A R T í C U L O D E I N V E S T I G a C I ó Nunclassified

Tabaquismo en Atención Primaria: Perfil de fumadoras consultantes, creencias y actitudes de los equipos de salud y oportunidades de intervención

et al. 2006

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Applying the Transtheoretical Model to Tobacco Cessation and Prevention: A Review of Literature

Cited by 161 publications

References 159 publications

Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)

Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)

Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action

Tabaquismo en Atención Primaria: Perfil de fumadoras consultantes, creencias y actitudes de los equipos de salud y oportunidades de intervención

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